Case Report
Acute Swelling of the Parotid Gland after Spinal Surgery Under General Anesthesia – A Case Report
Authors:
Peixoto AR*, Silva R, Carneiro E and Moreira E
Abstract:
Anesthesia mumps is an acute and transient salivary gland swelling which was described as a very rare complication of anesthesia. We report a case of a 41 year-old Caucasian male, with lumbar disc herniation, scheduled for partial endoscopic L5-S1 discectomy. He was classified as ASA I. He developed a localized swelling of the left parotid gland one hour after the surgical procedure. It is essential to be aware of this situation and emphasize its importance, since it can progress and become an emergency with airway obstruction.
Case Report
Airway Management of a Patient with Undiagnosed Diffuse Idiopathic Skeletal Hyperostosis – DISH
Authors:
Peixoto AR*, Silva R, Antunes MJ and Moreira A
Abstract:
Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier’s syndrome was first described in 1950 by Forestier and Rotes-Querol. It is a rheumatologic disease, with unclear etiology. DISH is characterized by spinal osteophyte formations and thickening and calcification of the ligaments, resulting in abnormal ossification of the paravertebral ligaments and muscles. DISH incidence is high but is often undiagnosed, leading to significant morbidity and mortality. Herein,
Letter to Editor
The Reverse Cannula: A Novel Technique of Withdrawing Blood
Authors:
Kumari R*
Abstract:
The Editor, Intravenous cannulation is a technique which anesthesiologists do often in their daily practice. It is a technique in which a cannula is placed inside a vein to provide venous access. It allows sampling of blood, fluids, medications, parenteral nutrition, chemotherapy as well as blood products. Intravenous cannula can be used to take blood samples even if it is inside the vein as cannula is just a plastic device inside the vein and there is no risk of "blowing" the vein by the needle once the cannula is inside especially in case of a difficult cannulation or a very small vein.
Research Article
Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) System for Outcome Prediction in Elderly Patients Submitted to Hip Fracture Emergency Surgery
Authors:
Teles AR*, de Castro JM, Teixeira IM, Mourão JB and de Azevedo LFR
Abstract:
Purpose: Evaluate the performance POSSUM system (POSSUM, P-POSSUM and Orthopedic-POSSUM) on predicting 30-day morbimortality in elderly patients undergoing emergent hip fracture surgery. Methods: A retrospective cohort study was conducted in all elderly patients (≥65 years-old) admitted, at a University Hospital, with hip fracture, that underwent surgery during one year. From 408 patients selected, 328 were excluded for not being submitted to emergency surgery.
Letter to Editor
Non-Conventional Analgesic Approach in Thoracic Trauma Patients – Continuous Bilateral Serratus Anterior Plane Block in Preventing and Weaning Mechanical Ventilation
Authors:
Teles AR*, Sarmento e Castro J, Eira C and Segura-Grau E
Abstract:
Injuries caused by blunt thoracic trauma are frequently associated with pulmonary complications and severe pain, prolonging both hospital and intensive care unit stay and significantly increasing healthcare costs. Ultrasound-guided Serratus Anterior Plane block is a recent technique that provides analgesia for the lateral and anterior thoracic wall
